Cigarette smoking as a risk factor for other substance misuse: 10-year study of individuals with and without attention-deficit hyperactivity disorder

@article{Biederman2012CigaretteSA,
  title={Cigarette smoking as a risk factor for other substance misuse: 10-year study of individuals with and without attention-deficit hyperactivity disorder},
  author={Joseph Biederman and Carter R. Petty and Paul G. Hammerness and Holly Batchelder and Stephen V. Faraone},
  journal={British Journal of Psychiatry},
  year={2012},
  volume={201},
  pages={207 - 214}
}
Background We previously documented that cigarette smoking is a risk factor for subsequent alcohol and drug misuse and dependence in adolescent girls with attention-deficit hyperactivity disorder (ADHD). Aims To revisit this hypothesis with a large longitudinal sample of both genders followed up for 10 years into young adulthood. Method We used data from two identically designed, longitudinal, case–control family studies of boys and girls with and without ADHD ascertained from psychiatric and… 
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ADHD is associated with early initiation of cigarette smoking in children and adolescents.
OBJECTIVE The association between attention-deficit hyperactivity disorder (ADHD) and cigarette smoking in children and adolescents was evaluated. METHOD Subjects were 6- to 17-year-old boys with
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TLDR
Clinically significant ADHD symptoms should be taken into account when identifying adolescents at risk to smoke, since those with problematic inattention may be more likely to experiment with smoking and to become regular tobacco users.
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TLDR
Self-report surveys, electronic diaries, and salivary cotinine all indicated that adolescents treated with pharmacotherapy for ADHD smoked less than their untreated counterparts over 2 years of high school, lending support to the self-medication hypothesis over the gateway hypothesis.
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